Often, we find ourselves or other clinicians come across barriers and obstructions to promoting and encouraging best clinical practices, especially in the vascular access realm. It may have even happened to us – trying to make important changes, based on strong clinical evidence, guidelines and recommendations – to be frequently informed that higher powers, not familiar with the best evidence, do not consider the change relevant or even important.. Often, this is purely a lack of exposure to issues at hand – despite clear evidence supporting potential required change.

It is often very frustrating, and the inevitable feeling of being unable to make change for the better is quite often the reason why people just give up. ‘I’m done’. ‘I’ve had enough of beating my head against the wall’. ‘No-one listens’. ‘I given them the evidence but it is not highly regarded’. We all can acknowledge this is frequently something we come across, at all levels, however, when the patient is the central focus in our world, it becomes a lot more pertinent. Patients lives are often at stake. Poor, or should I say LACK, of the patients specific needs and requirements put them on the backfoot, especially if an inappropriate device is considered, or even placed, increasing obvious risk of complication, increased morbidity and mortality and procedural risks with inexperienced practitioners.

Striving to improve clinical practices and patient outcomes is the underpinning role of all healthcare practitioners, but what if they just aren’t interested in the change? Do not give up the fight. Patients deserve optimal care and pushing this is something that all clinicians and hospital executive/administrators need to ensure is happening in healthcare institutions around the country (and the world).

This image, which was posted recently on LinkedIn really highlights the need to continue to fight to improve all aspects of healthcare. It can be taken in numerous contexts when read and applied to any situation, even from end educational perspective, but to me, this is why we strive for excellence in vascular access practices.. Never give up, continue to fight and push for best practices always – even if we have to change our pathway of change process.. Patients deserve it – because we will all be patients one day, I’m very sure of it!

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